Douglas Lee Park, DDS
Pediatric Dentistry · Gresham, OR
Practice location
1201 SE 223rd AveSuite 240
Gresham, OR 97030
- Phone
- (503) 666-9800
- Fax
- (503) 666-6787
NPI record
- NPI
- 1366521122
- Entity type
- Individual (Type 1)
- Enumeration date
- November 3, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X |
D6620 | OR |
Mailing address
34116 SE Carpenter LnGresham, OR 97080
- Phone
- (503) 663-5162
About Dr. Park
Douglas Lee Park, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 1201 SE 223rd Ave, Suite 240, Gresham, OR 97030. The NPI number 1366521122 was assigned on November 3, 2006 and the record was last updated on July 8, 2007.
Dr. Park lists a license in the registry: #D6620 (OR) for Pediatric Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Douglas Lee Park, DDS?
The NPI number is 1366521122.
What is the phone number of Dr. Park?
The phone number listed for the practice location is (503) 666-9800.
Where is Dr. Park located?
1201 SE 223rd Ave, Suite 240, Gresham, OR 97030.
What is the taxonomy code for Dr. Park?
The primary taxonomy code is 1223P0221X – Pediatric Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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